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Structural Bone Grafts in Primary and Revision Total Hip Arthroplasty

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Hip Arthroplasty

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Abstract

Hip arthroplasty has been the most widely done procedure for primary and secondary hip osteoarthritis worldwide. One of the significant complications and causes for failure is the septic and aseptic loosening of components (femoral and acetabular), and over time, the revision burden increases worldwide because of this condition. During such revisions and sometimes even in certain complex primary cases, the surgeons have to deal with bone loss on the femoral and acetabular sides. Grafting, or transplanting of bone tissue, is beneficial in healing bones and providing structural support to damaged bones from trauma or bone disease. It is one of the most commonly done procedures to augment bone regeneration in orthopaedic surgery. Bone graft is used to fill an area where the bone is deficient or helps provide structural stability. The same concept is also beneficial while managing complex arthroplasty scenarios. This chapter discusses the indications of bone grafts in primary and revision total hip arthroplasty and their use in different complex situations like Dysplastic hips, Tumors around the hip, Post-traumatic osteoarthritis, or deformity of the hip. Reconstruction of acetabular bone deficiency and reconstruction of femoral bone deficiency have been discussed with specific insights into the technique of performing these procedures. The primary key learnings from this book chapter is (a) use of structural bone graft is a natural way of enhancing stability and improving osteointegration of implants; (b) While it is technically demanding if optimally executed, it delivers excellent results; (c) Allograft and alternatives like bio-composite may be used when autograft is not used; (d) Intraoperative imaging, implant counting, and adequate fixation are essential to good outcomes.

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Authors and Affiliations

  1. Sir H.N. Reliance-Foundation Hospital and Research Centre, Mumbai, Maharashtra, India

    Shobit Deshmukh, Anjali Tiwari & Vaibhav Bagaria

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  1. Shobit Deshmukh
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  2. Anjali Tiwari
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  3. Vaibhav Bagaria
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Editors and Affiliations

  1. Head of Orthopedics and Joint Replacement, Amrita Institute of Medical Sciences Amrita Vishwavidyapeetham, Faridabad, India

    Mrinal Sharma

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Deshmukh, S., Tiwari, A., Bagaria, V. (2023). Structural Bone Grafts in Primary and Revision Total Hip Arthroplasty. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_47

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  • DOI: https://doi.org/10.1007/978-981-99-5517-6_47

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